Hubungan Rasionalitas Penggunaan Obat Nyeri Terhadap Tingkat Nyeri Pada Lansia Dengan Osteoarthritis Di Panti Pelayanan Sosial Lanjut Usia Bisma Upakara Pemalang Tahun 2021

AbstractOsteoarthritis is a degenerative joint disease characterized by cartilage damage and often occurs in the elderly. Diseases that are often found in the community. Management of osteoarthritis is aimed at controlling or relieving pain. Inappropriate drug selection can cause the drug to be ineffective, exacerbate a disease, and cause unwanted effects. This study aims to determine the relationship between the rationality of the use of pain medication on the level of pain in the elderly with osteoarthritis. The research design is a descriptive correlative study with a cross sectional approach. The sampling technique used was total sampling with a total of 43 respondents. Data collection tools using a questionnaire and statistical tests using the Kolmogorov Smirnov test. The results of the study found that the percentage related to rationality of rational pain medication (69.8%) was irrational (30.2%) and at the level of pain experienced mild pain (18.6%), moderate pain (67.4%), and moderate pain. weight (14.0%). Statistical test results obtained p value of 0.042 (<0.05) Ho is rejected, which means that there is a significant relationship between the rationality of pain medication use and pain levels in the elderly with osteoarthritis at the Bisma Upakara Elderly Social Service Institution, Pemalang. . The results of this study recommend for health workers to provide or improve health education related to the rationality of using pain medication.Keywords: Pain, Osteoarthritis, Rationality AbstrakOsteoarthritis adalah penyakit radang sendi degeneratif dengan di tandai dengan adanya kerusakan kartilago dan sering terjadi pada lansia .Penyakit yang sering dijumpai pada masyarakat. Penatalaksanaan osteoarthritis ditujukan pada pengendalian atau menghilangkan nyeri. Pemilihan obat yang tidak tepat dapat menyebabkan obat menjadi tidak berkhasiat, memperparah suatu penyakit, dan menimbulkan efek yang tidak diinginkan.Penelitian ini bertujuan untuk mengetahui hubungan rasionalitas penggunaan obat nyeri terhadap tingkat nyeri pada lansia dengan osteoarthritis. Desain penelitian studi deskriptif korelatif dengan pendekatancross sectional. Teknik pengambilan sampel menggunakan total samplingdengan jumlah 43 responden. Alat pengumpulan data menggunakan kuesioner dan uji statistik menggunakan uji Kolmogorov Smirnov. Hasil dari penelitiandidapatkan persentase terkait rasionalitas obat nyeri yang rasional (69,8%) tidak rasional (30,2%) dan pada tingkat nyeri yang mengalami nyeri ringan (18,6%), nyeri sedang (67,4%), dan nyeri berat (14,0%).hasil uji statistik didapatkan p value sebesar 0,042 (< 0,05) yang berarti ada hubungan yang signifikan rasionalitas penggunaan obat nyeri terhadap tingkat nyeri pada lansia dengan osteoarthritis di Panti Pelayanan Sosial Lanjut Usia Bisma Upakara Pemalang. Hasil peneltian ini merekomendasikan bagi tenaga kesehatan untuk memberikan atau meningkatkan pendidikan kesehatan terkait dengan rasionalitas penggunaan obat nyeri. Kata kunci : Nyeri; Osteoarthritis; Rasionalitas

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FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ASAM URAT PADA LANSIA (45 – 70 TAHUN)

Human Care Journal ◽

10.32883/hcj.v4i1.242 ◽

2019 ◽

Vol 4 (1) ◽

pp. 34

Author(s):

Ridhyalla Afnuhazi

Keyword(s):

Uric Acid ◽

Health Workers ◽

Statistical Tests ◽

Univariate Analysis ◽

The Elderly ◽

Outreach Program ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated

Indonesian is the 4th largest country in the world whose in habitants suffer from gout. In Indonesian, it is estimated that uric acid occur in 840 people every 100,000 people. Disease of gout is one of the degenerative disease. One of the signs of the disease gout is the increase in the levels of uric acid in the blood (hiperurisemia). Factors related to the incidence of hiperurisemia is sex, IMT, intake carbohydrate sand intake purin. Purin intake is a risk factor most strongly associated with the incidence of hiperurisemia. This study used a cross-sectional research design cross method i.e. research to study the dynamics of the correlation between two variables. Research carried out in the Puskesmas Kebun Sikolos in August 2016. The population in this study amounts to 100 people. Sampling techniques in "accidental sampling", with a sample of as many as 20 people. Data processing is carried out using the SPSS program with computerized analysis univariate and bivariat, statistical tests used was chi-square. The results of the univariate analysis showed that (65%) of respondents-sex women, (55%) of respondents experiencing obesity and (55%) of the respondents did not suffer from hypertension. Bivariat analysis p value = 0.019 means there is a relationship between the sex with uric acid, and p value = 0.025 means there is a connection between obesity with uric acid, and p value = 0.337 which means there is no relationship between hypertension with the occurrence of uric acid. Thus the factors associated with the incidence of gout in the elderly is gender and obesity. So from that recommended that health workers improve outreach program again about the factors associated with the incidence of gout in the elderly.

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PENGARUH SENAM JANTUNG SEHAT SERI-I TERHADAP DAYA TAHAN JANTUNG-PARU, KEKUATAN OTOT DAN KADAR TNF-? PLASMA PADA LANJUT USIA

JURNAL ILMU FAAL OLAHRAGA INDONESIA ◽

10.51671/jifo.v1i1.37 ◽

2019 ◽

Vol 1 (1) ◽

pp. 1

Author(s):

Ajeng Fitria ◽

Leonardo Lubis ◽

Ambrosius Purba

Keyword(s):

Muscle Strength ◽

Health Workers ◽

The Elderly ◽

Moderate Intensity ◽

P Value ◽

Back Muscle ◽

Back Muscle Strength ◽

Shoulder Muscles ◽

Before And After ◽

Post Test

The increasing number of elderly and elderly life expectancy is a challenge for health workers. Decreased cardiac endurance, muscle strength and increased incidence of inflammation will occur in the elderly as we get older. health cardio exercises series-I is an aerobic exercise that has moderate intensity and is carried out for 30 minutes, research is needed to analyze the effect on cardiac endurance, muscle strength and decrease plasma TNF-? levels in the elderly. Research design with experimental method, pre-test and post-test design approach. The study was conducted for 4 weeks on 25 samples which were divided into 3 groups of frequency of health cardio exercises series-I to measure endurance of the heart. A 6-minute road test and muscle strength were used for hand grip strength dynamometer, test back and leg dynamometer. Measurement of plasma TNF-? levels is carried out using the Elisa method. The data was then analyzed using paired t-test to see differences before and after health cardio exercises series-I. The results showed health cardio exercises series-I performed 3x / mg can increase the heart's endurance compared to the frequency of 4x / mg and 5x / mg (-16.11 vs 15.62 vs -47.62 meters). health cardio exercises series-I frequency of 3x / mg and 4x / mg can increase back muscle strength (p-value = 0.019, p <0.05) and the frequency of 5x / mg can increase the strength of attractive shoulder muscles. (p-value = 0.033, p <0.05). Health cardio exercises series-I performed 3x / mg, 4x / mg and 5x / mg did not have a significant effect on plasma TNF-? protein expression in the elderly (0.506 vs 0.856 vs. 0.382, p <0.05). It is suggested that the elderly can do I-1 series heart exercise with a frequency of 3x / mg to increase the heart's lung endurance and back muscle strength, a health cardio exercises series-I 4x / mg series to increase muscle strength of the back back, a series of health cardio exercises series-I frequency of 5x / mg to increase attractive shoulder muscle strength.

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INFLUENCE OF YOGA ON THE BLOOD PRESSURE OF ELDERLY WITH HYPERTENSION

Malaysian Journal of Medical Research ◽

10.31674/mjmr.2018.v02i03.004 ◽

2018 ◽

Vol 2 (3) ◽

pp. 30-35

Author(s):

Mariza Elvira

Keyword(s):

Blood Pressure ◽

Quantitative Methods ◽

Statistical Tests ◽

The Elderly ◽

World Health ◽

P Value ◽

Main Program ◽

The Earth ◽

Health Organization ◽

Relationship Of

According to WHO (World Health Organization) about 972 million people in the earth suffering from hypertension that occurs in the elderly over the age of 60 years. The purpose of this study is to determine the effect of yoga exercises on blood pressure in the elderly who experienced hypertension in Social House Trisna Werdha Kasih Sayang Ibu Batusangkar. This research was conducted in April to May 2017 with quantitative methods. The instrument used was the observation sheet with elderly respondents who suffered from hypertension as many as 12 people that meet the criteria with Total Sampling. The statistical test used is Dependent t-test. The results of statistical tests showed a significant influence between elderly blood pressure before yoga gymnastics and after yoga exercises with p value = 0.000 (<0.05). So it can be concluded that there is a relationship of yoga exercises with blood pressure.It is expected to Trisna Werdha Kasih Sayang Ibu at Batusangkar Social House to be able to make this yoga gymnastics as one of the main program for elderly.

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Abstract 2374: A New More Sensitive Method to Assess Balance Among Stroke Trial Populations

Stroke ◽

10.1161/str.43.suppl_1.a2374 ◽

2012 ◽

Vol 43 (suppl_1) ◽

Author(s):

Pitchaiah Mandava ◽

Michael E Brooks ◽

Chase S Krumpelman ◽

Thoma A Kent

Keyword(s):

Nearest Neighbor ◽

Statistical Tests ◽

T Test ◽

P Value ◽

Large Artery ◽

Population Distributions ◽

Multiple Dimensions ◽

Kolmogorov Smirnov ◽

Baseline Factors ◽

Stroke Trial

Background: Stroke outcome is dependent on baseline factors such as NIHSS and age. Relationships between these variables and outcomes are often non-linear and imbalances can influence outcomes, particularly in subgroup analysis with smaller number of subjects. Balance in baseline variables factors are typically compared by Wilcoxon rank sum, t-test or ANOVA. Because of non-linearity, these tests may be insensitive to important differences in the distribution of these factors and if multiple factors are considered simultaneously. We adapted a multi-dimensional extension of Kolmogorov-Smirnov (KS) test proposed by Fasano and Franceschini (FF) to compare population distributions. The FF algorithm provides a method to calculate KS Distance (KSD) between two distributions in multiple dimensions and a probability value can be obtained. We hypothesized that the FF algorithm would be more sensitive than traditional statistical tests to determine whether baseline factors differed among two trial arms. We further show that matching for baseline variables (nearest neighbor Euclidean matching, pPAIRS©; Mandava Kent Stroke 2010) improves the KSD, indicating closer matched populations. Methods: The NINDS database was used for this study ( ntis.gov ). The subgroup of rt-PA and placebo treated normoglycemic subjects with large artery stroke was analyzed. Median and mean NIHSS and age were compared and KSD and a p value were calculated using a custom program, pPOPULATION© written in Matlab®. rt-PA and placebo subjects were then matched using pPAIRS© and outliers eliminated. KSD and p value for the post-matched groups were calculated. Results: The left half of the table shows the pre-match comparisons. Baseline variables were not different using usual tests. A KSD value of 0.283, however yielded p=0.008, suggesting that the population distributions are indeed different when two variables are considered simultaneously. Right half of the table shows the post-match comparisons of baseline variables. The KSD value, 0.217, is lower and is associated with a p value = 0.175, indicating that the post-matched distributions are similar. a Wilcoxon Rank-Sum; b Student t-test; Conclusion: We demonstrate here a new application of a 2d version of the KS distance to verify the similarity of stroke populations and show that it is more sensitive than traditional difference testing. This finding is important because baseline imbalances are critical for accurate assessment of outcome. This algorithm can be further extended to additional dimensions (e.g.: glucose). Its relative advantages over other methods will be discussed.

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The Effect Of Oxytosin Massage Through The Back On The Production Of Breast Milk In Post Partum Mother In The Mother Of Permata Bunda Subdistrict Babat

Jurnal Penelitian Sekolah Tinggi Ilmu Kesehatan Nahdlatul Ulama Tuban ◽

10.47710/jp.v1i1.23 ◽

2019 ◽

Vol 1 (1) ◽

Author(s):

Dwi Kurnia purnama Sari

Keyword(s):

Breast Milk ◽

Milk Production ◽

Health Workers ◽

Statistical Tests ◽

Post Partum ◽

Significant Degree ◽

Control Group ◽

P Value ◽

Chi Square ◽

Chi Square Test

Every minute of one baby indonesia died because they did not to obtain breast milk (BM) in the first hour of birth, problems in the provision of breastfeeding can because production breastfeeding not out.One way to overcome the incomplete milk production is by doing a massage of oxytocin through the back. This message can relax the mother’s so that stimulate oxcytocin reflex and milk production also smoothly. The purpose of this research to know the influence of massage oxytocin through the back to production breastfeeding on the post partum. This research using design Quasy experimental that involves 30 respondents taken with systematic random sampling. Respondents divided into 2 groups, namely the control group were 15 respondents and group experimental were 15 respondents.Data collection use observation checklist.Data analyzed using chi-square test with a significant degree α ≤ 0.05. The results of statistical tests chi square obtained p value = 0,028 (α< 0,05)thus H1 accepted that mean there are influence massage oxytocin through the back to production breastfeeding on the post partum. The research at the clinic Permata BundaSubdistrict Babat that is the massage oxytocin through the back to production breastfeeding. Because massage oxytocin through the back can stimulate reflexes oxytocin hormone. Expected for health workers can provide health education about massage oxytocin through the back to the community so later expected all the community be able to apply massage oxytocin through the back to overcome it swift sailboat production breastfeeding.

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Peran Keluarga terhadap Penurunan Tingkat Kecemasan Lanjut Usia

Journal of Nursing Education and Practice ◽

10.53801/jnep.v1i2.37 ◽

2021 ◽

Vol 1 (2) ◽

pp. 31-37

Author(s):

Dewi Puspa Cipta Utami

Keyword(s):

Statistical Tests ◽

Sampling Technique ◽

The Elderly ◽

P Value ◽

Cluster Sampling ◽

Family Role ◽

Chi Square ◽

Cross Sectional ◽

The Family

Introduction: The role of the family is the specific behavior expected by someone in the family member. Anxiety is a fear that is not clear and is not supported by the situation. Objective: To Know the Relationship of Family Role to the Level of Anxiety in the Elderly in Hamlet 01 Kukusan Beji-Depok Method: The research method uses analytics with a cross-sectional approach. The study population was 288 people with a sample of 81 respondents using the Slovin formula. In the sampling technique using cluster sampling. Results: The results showed that the respondents with a bad family role as many as 41 (50.6%) anxiety levels of the middle aged were 59 (72.8%). The results of statistical tests using the chi-square test indicate that there is a significant or significant relationship between the role of the family and the level of anxiety of the elderly with a value of p-value 0.01. Conclusion: It was concluded that there was a relationship between the role of the family and the level of anxiety of the elderly in the Hamlet 01 Kukusan Beji District Depok City.

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Hubungan Pemberian Konseling oleh Petugas Kesehatan dengan Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) di Puskesmas Pakuan Baru

Jurnal Akademika Baiturrahim Jambi ◽

10.36565/jab.v10i2.334 ◽

2021 ◽

Vol 10 (2) ◽

pp. 294

Author(s):

Ria Febrina

Keyword(s):

Family Planning ◽

Community Health ◽

Health Center ◽

Quantitative Research ◽

Health Workers ◽

Statistical Tests ◽

Community Health Center ◽

Poverty Line ◽

P Value

An increase in population can lead to poverty, economic inequality in the population which is usually measured by the proportion of households with income below the poverty line. One of the government's efforts to control the rate of population growth is through the implementation of a family planning program (KB) for fertile age couples age (PUS) using contraception. The use of long term contraception methods is still very low, of the total number of active family planning participants, only 17.45% of them use long term contraception methods. Meanwhile, 81.23% were non- long term contraception methods family planning users and 1.32% used traditional family planning. Jambi Province only 1.9% uses long term contraception method. Based on data obtained from the Jambi City Health Office in 2018 the number of IUD KB participants was 2,032, 1,252 implants, 542 MOW people, 16 MOP people from 20 community health center in Jambi City, Pakuan Baru community health center none of the active family planning participants which uses long term contraception method. This study was to determine the relationship of counseling by health workers with the choice of long-term contraceptive method at Pakuan Baru Community Health Center, Jambi City. This type of quantitative research with a descriptive design. Respondents who were active family planning participants who visited the Pakuan Baru community health center were taken using accidental sampling. The data collection technique was done by filling out a questionnaire. The data were processed using fisher exact statistical tests. The results of the study most of the respondents used long term contraception method of 24 (57.1%), there was a relationship between the provision of counseling and the choice of long term contraception method with a p-value: 0.001 and there was no relationship between the provision of counseling media by health workers and the selection of long term contraception method with a p-value: 0.068.

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KETERATURAN IBU HAMIL DALAM MENGKONSUMSI TABLET FE DI WILAYAH KERJA PUSKESMAS SULIT AIR KABUPATEN SOLOK

Ensiklopedia Education Review ◽

10.33559/eer.v1i3.660 ◽

2021 ◽

Vol 1 (3) ◽

pp. 287-293

Author(s):

Netty Herawati

Keyword(s):

Family Support ◽

Significant Relationship ◽

Health Workers ◽

Statistical Tests ◽

Deficiency Anemia ◽

P Value ◽

Cross Sectional ◽

Significant Difference ◽

Water Based

Pregnancy is a condition in which the fetus is conceived in the mother's body, which begins with the fertilization process. Lack of iron during pregnancy will lead to iron deficiency anemia and can cause bleeding during delivery, facilitate infection and decrease the carrying capacity of acid. The need for pregnant women for Fe increases (for the formation of placenta and red blood cells) by 200-300%, about 300 mg of Fe is transferred to the fetus so that 50-75 mg for the formation of placenta, 450 mg for increasing the amount of red blood and 200 mg disappears when The type of research in this research is descriptive analytic using cross sectional design. In this study, the independent variables are motivation, the role of health workers and family support, the dependent variable is the regularity of consuming Fe tablets. Based on the statistical test, it was obtained p value 0.007 ˂ 0.05, which means that there is a significant relationship between poor motivation and irregularity in consuming Fe tablets in the working area of Puskesmas with difficult water. Based on statistical tests, p value is 0.001 0.05, which means there is a significant relationship There is a significant difference between the role of health workers and irregularity in consuming Fe tablets in the working area of Puskesmas with difficulty in water. Based on statistical tests, the p value is 0.000 ˂ 0.05, which means that there is a significant relationship between poor family support and irregularity in consuming Fe tablets in the region. The Work of Puskesmas is Hard to Water.

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Factors Related To Abortus Events In Mitra Medika Rsu Tanjung Mulia Medan In 2019

Human Care Journal ◽

10.32883/hcj.v5i3.581 ◽

2020 ◽

Vol 5 (3) ◽

pp. 631

Author(s):

Qori Armiza Septia

Keyword(s):

Pregnant Women ◽

Health Workers ◽

Statistical Tests ◽

World Health ◽

Bivariate Analysis ◽

P Value ◽

Contraceptive Failure ◽

Study Approach ◽

History Of ◽

Relationship Of

Abortion is an important problem in public health because it affects maternal morbidity and mortality. Based on data from the World Health Organization (WHO) in 2016, around 830 women die from pregnancy-related complications worldwide every day. During 2010-2014, an estimated 56 million abortions occur each year worldwide. The aim is to find out factors related to the abortion at Mitra Medika Tanjung Mulia Medan Hospital in 2019.<pre> This research uses a Mix Methods research with a Sequential Explanatory strategy. The approach used in quantitative retrospectives and qualitative uses a case study approach. The population in this study were all pregnant women who experienced abortion recorded in the medical records of Mitra Medika Hospital Tanjung Mulia Medan as many as 73 respondents. The sample in a quantitative approach of 73 respondents with the technique of Total Population while for qualitative 2 pregnant women who have abortion, 2 husbands, 1 midwife. Data collection is carried out with primary, secondary and tertiary data. Data analysis was performed by univariate, bivariate analysis. Qualitative data analysis with data reduction, data presentation, and drawing conclusions.</pre><pre> Data obtained from the results of statistical tests show there is a relationship between age and abortion p value 0.005, there is a relationship of work with abortion p value 0.017, there is a relationship of parity with abortion p value 0.022, there is a relationship between historical abortion with abortion p value 0.001. And there is no correlation between contraceptive failure and abortion p value 0.297. Qualitatively based on in-depth interviews with informants that the cause of the occurrence of abortion is due to the age of the mother at risk, a history of previous abortion and fatigue at work. Another factor related to the incidence of abortion is husband's support.</pre> The conclusion of this study is that there is a relationship between age, occupation, parity, history of abortion of pregnant women with abortion and there is no relationship between contraceptive failure of pregnant women with abortion in Mitra Medika Tanjung Mulia Hospital in 2019. It is expected that health workers can improve the quality of services in efforts to manage abortion and providing information about pre-conception preparation and health monitoring during pregnancy.

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CORRELATION OF HUSBAND'S KNOWLEDGE AND SUPPORT TO IVA TEST BEHAVIOR IN WOMEN OF FERTILE AGE COUPLES IN NAMORAMBE VILLAGE, NAMORAMBE SUB DISTRICT IN 2017

Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) ◽

10.36911/pannmed.v14i1.554 ◽

2019 ◽

Vol 14 (1) ◽

pp. 9-14

Author(s):

Hanna Sriyanti Saragih ◽

Julietta Hutabarat

Keyword(s):

Cervical Cancer ◽

Health Workers ◽

Statistical Tests ◽

Simple Random Sampling ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Test Behavior ◽

Advanced Stages ◽

Cross Sectional Design

One of the cervical cancer screening can be done with visual inspection of acetic acid (IVA Test). InIndonesia, almost 70% of cervical cancers were found in advanced stages (> stage II B). This is due to thelow level of screening, which was <5% where ideally was 80%. This research is to find out the correlationbetween husband's knowledge and support to IVA test behavior in women of fertiled age couples. This typeof research was analytic descriptive with cross sectional design carried out in Namorambe Village,Namorambe sub district. The population used in the study were all women of fertiled age who live inNamorambe village. Samples were taken by simple random sampling of 58 respondents. Data collectionusing questionnaires and data analyzed univariate and bivariate using Fisher Exact statistical tests. Theresults of statistical analysis showed that knowledge’s level of the respondents was mostly in less category of24 people (41.4%), husband's support for IVA test behavior was at less category of 39 people (67.2%), themost respondents did not do IVA test of 45 people (77.6 %). In bivariate analysis, with p-value of 0.001<0.05, it was concluded that there was significant correlation between knowledge with IVA examinationbehavior, and with a p-value of 0.04 <0.05. It was concluded that there was correlation between husband'ssupport and IVA examination behavior. It was need to increase knowledge about cervical cancer and IVAtest through education by health workers through the promotion of reproductive health.

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